STATE OF FLORIDA S DEPARTMENT OF HEALTH = DEPARTMENT OF HEALTH, ) ; _ > (0024U 2 3 PETITIONER, ) “> ) = v. ) CASE NO. 96-15499 ‘ ANDREW E. SAMPSON, M.D., ) ) RESPONDENT. ) ADMINISTRATIVE COMPLAINT SUE Ni AES COMES NOW the Petitioner, Department of Health, hereinafter referred to as “Petitioner,” and files this Administrative Complaint before the Board -of Medicine against Andrew E. Sampson, M.D., hereinafter referred to as “Respondent,” and alleges: 1. Effective July 1, 1997, Petitioner is the state agency charged with regulating the practice of medicine pursuant to Section 20.43, Florida Statutes (Supp. 1996); Chapter 455, Florida Statutes, and Chapter 458, Florida Statutes. Pursuant to the provisions of Section 20.43(3)(f), Florida Statutes, the Petitioner has contracted with the Agency for Health Care Administration to provide consumer complaint, investigative, and prosecutorial services required by the Division of Medical Quality Assurance, councils, or boards, as appropriate. GY 2. Respondent is and has been at all times material hereto a licensed physician in the state of Florida, having been issued license number ME 0018456. Respondent’s last known address i is 600 North Boundary Avenue, #1 16- D, Deland, FL 32720. 3. The Physicians Recovery ‘Network (hereinafter referred to as “PRN”) is the impaired practitioners program for the Board of Medicine, pursuant to Section 455.707, Florida Statutes. PRN is an independent program that monitors the evaluation, care and treatment of impaired healthcare professionals. PRN oversees random drug screens and provides for the exchange of information between the treatment providers, PRN and the Agency, for the protection of the public. Loe ees. 4, In or about 1982, Respondent was admitted to the South Miami Addiction Treatment Program (SMATP). He was diagnosed as alcoho! dependent. Respondent refused treatment. 5. On or about June 11, 1982, Respondent returned to SMATP, where he received intensive inpatient treatment for alcoholism through on or about July 9, 1982. Arrangements were made for long term treatment. 6. On or about February 1, 1996, Respondent was arrested by the Osceola County Sheriff's Office for Driving Under the Influence (DUI). He was found to have a blood alcohol level of .197/.198. . 7. On or about September 12, 1996, Respondent was arrested by the Orange City Police Department (OCPD) for DUI. He was found to have a blood alcohol level of .123/.128. On or about December 13, 1996, Respondent pled guilty to Reckless Driving and was ordered by the Court to enter PRN. 8. Respondent refused to enter the PRN program. 9. On or about January 14, 1997, Respondent entered into an agreement with the Agency i in which he voluntarily agreed to withdraw from practice. 10. On or about February 26, 1997, Respondent was issued an Order Compelling Mental Examination by the Agency. Respondent was evaluated by a physician specializing in Addiction Medicine on or about April 8, 1997. 11. The evaluator diagnosed Respondent with alcohol dependence and -possible prescription opioid dependence, and opined that Respondent was unable to practice medicine with reasonable skill and safety to patients. woe eee 12. Respondent is unable to practice medicine with reasonable skill and safety to patients due to alcohol dependence and possible prescription opioid dependence. 13. Based on the foregoing, Respondent violated Section 458.331(1)(s), Florida Statutes, in that he is unable ‘to practice medicine with reasonable skill and safety to patients by reason or illness or use of alcohol, drugs, narcotics, chemicals, or any other type of material, or as a result of any mental or physical condition . WHEREFORE, the Petitioner respectfully requests the Board of Medicine enter an order , imposing one or more of the following penalties: permanent revocation or suspension of the Respondent’ ! license, restriction of the Respondent’s practice, imposition of an administrative fine, issuance of a reprimand, placement ‘of the Respondent on probation, the assessment of costs related to the investigation and prosecution of this case, other than costs associated with an U attorney’s time, as provided for in Section 455.624(3), Florida Statutes, and/or any other relief that the Board deems appropriate. SIGNED this 77 _ VA. 2 day of een Lee , 1997. COUNSEL FOR DEPARTMENT: Larry G. McPherson, Jr. Chief Medical Attorney Agency for Health Care Administration P. O. Box 14229 Tallahassee, Florida 32317-4229 Florida Bar # 788643 *, RPC/krt PCP: December 15, 1997 PCP Members: Skinner, Leon James T. Howell, M.D. Secretary Larry G. McPherson fr Chief Medical Attorfiey

Docket for Case No: 00-000244